接纳与承诺疗法对永久性肠造口患者社交回避影响的研究  

Study on effect of acceptance and commitment therapy on social avoidance of patients with permanent stoma

作　　者：高娅格 屈清荣[2] 高娅鑫 崔天娇 GAO Yage;QU Qingrong;GAO Yaxin;CUI Tianjiao(Department of Colorectal and Anal Surgery,the First Affiliated Hospital of Zhengzhou University,Henan Province,Zhengzhou450052,China;Department of Surgery Medicine,the First Affiliated Hospital of Zhengzhou University,Henan Province,Zhengzhou450052,China)

机构地区：[1]郑州大学第一附属医院结直肠肛门外科,河南郑州450052 [2]郑州大学第一附属医院外科医学部,河南郑州450052

出　　处：《中国医药导报》2025年第5期178-183,共6页China Medical Herald

基　　金：河南省高等学校重点科研项目(23A320048、24A320054)。

摘　　要：目的评价接纳与承诺疗法对永久性肠造口患者社交回避的影响。方法选取2022年10月至2023年10月郑州大学第一附属医院胃肠外科、结直肠肛门外科行经腹会阴联合直肠癌根治术的102例患者为研究对象,采用随机数字表法将其分为两组,每组51例。对照组给予常规护理,干预组在常规护理的基础上行接纳与承诺疗法干预,于干预前、干预结束、干预结束后1个月比较两组社交回避与苦恼量表得分、肠造口接受度问卷得分、造口周围皮肤并发症发生率的差异。结果干预结束、干预结束后1个月,两组社交回避与苦恼量表总分及各维度得分均低于干预前,且干预结束后1个月低于干预结束(P<0.05);干预结束、干预结束后1个月,干预组社交回避与苦恼量表总分及各维度得分低于对照组(P<0.05)。干预结束、干预结束后1个月,对照组肠造口接受度问卷总分及评估重要性、评估支持度得分均高于干预前,且干预结束后1个月高于干预结束(P<0.05);干预结束、干预结束后1个月,干预组肠造口接受度问卷总分和各维度得分均高于干预前,且干预结束后1个月高于干预结束(P<0.05);干预结束、干预结束后1个月,干预组肠造口接受度问卷总分及评估重要性、自主与接受得分均高于对照组,干预结束后1个月评估支持度得分高于对照组(P<0.05)。干预结束、干预结束后1个月,两组造口周围皮肤并发症发生率比较,差异无统计学意义(P>0.05)。结论接纳与承诺疗法可降低永久性肠造口患者社交回避与苦恼水平,提高患者造口接受度。Objective To evaluate the effect of acceptance and commitment therapy on social avoidance of patients with permanent stoma.Methods A total of 102 permanent stoma patients from October 2022 to October 2023 in the Department of Gastrointestinal Surgery and Colorectal and Anal Surgery in the First Affiliated Hospital of Zhengzhou University were selected as the study objects.They were divided into two groups by random number table method,with 51 cases in each group.The control group received rcutine nursing,the intervention group received acceptance and commitment therapy intervention on the basis of routine nursing.Social avoidance and distress scores,stoma acceptance questionnaire scores,and the incidence of peristoma skin complications were compared between the two groups before,intervention the end of the intervention and one month after intervention.Results At the end of the intervention and one month after the intervention,the total score of social avoidance and distress scale,scores of all dimensions of the two groups were lower than before the intervention,and one month after the intervention was lower than the end of the intervention(P<0.05);the total scores and dimensions of social avoidance and distress Scale Scores in the intervention group were lower than those in the control group at the end of the intervention and one month after the intervention(P<0.05).At the end of the intervention and one month after the intervention,the total score of stoma acceptance questionnaire,scores of evaluation importance and evaluation support of the control group were higher than before the intervention,and one month after the intervention was higher than the end of the intervention(P<0.05).At the end of the intervention and one month after the intervention,the total score of stoma acceptance questionnaire and scores of the intervention group were higher than before the intervention,and one month after the intervention was higher than the end of the intervention(P<0.05),at the end of the intervention and one month after

关 键 词：肠造口 接纳与承诺疗法 社交回避 造口接受 

分 类 号：R473[医药卫生—护理学]